Social and Behavioral Sciences Commons^™

The Effects Of Sociodemographic Characteristics, Caregiving Practice Patterns, Coping Mechanisms, And Social Support On The Health Of Asian American Ethnic Groups And Asian American Caregivers, Suryadewi Edi Nugraheni

Legacy Theses & Dissertations (2009 - 2024)

Background: Asian American family caregivers came from various ethnic groups with different sociodemographic characteristics and culturally specific values. However, cultural practices were often overlooked because researchers often combined all Asian Americans under one umbrella. Objective: The purpose of the study was two-fold. First, the study investigated the study sample of Asian Americans participating in the California Health Interview Survey (CHIS) 2009 comprised of multiple Asian American ethnic groups. By utilizing the study sample, the research aimed to investigate 1) the associations between caregiving and self-rated health (SRH) and hypertension and 2) the associations between heterogeneity of Asian American ethnic groups …

Psychological Sense Of Community Among Older Adults In Puerto Rico Two Years After Hurricane María, Thomas D. Buckley

Theses and Dissertations

Hurricane María devastated Puerto Rico in 2017 and resulted in adverse long-term outcomes. Psychological sense of community (PSOC) may serve as a protective factor against the effects of Hurricane María for older adults in Puerto Rico. Using a three-paper format, this dissertation draws on a resilience framework and theories of PSOC and the Ecological Theory of Aging to examine the role of PSOC among older adults in Puerto Rico two years after Hurricane María.

Paper one is a scoping review of the concept of PSOC in research with community dwelling older adults. I begin by presenting findings on study characteristics …

“Older Adults And Their Experiences With Home Care And Assisted Living”, Faith Robinson

Thinking Matters Symposium Archive

As the state of Maine and the U.S. population at large continues to age, discussion about future care and living arrangements for older adults has become an increasingly relevant issue. Older adults are often faced with a range of options for housing, including staying in their home in their community while receiving home care services, or moving to an assisted living facility.

Currently a gap in the research exists as to the attitudes, perceptions, and lived experiences of the older adults themselves around these decisions, experiences, and the meaning of “home” in our older years. This study aims to provide …

A Later Life Without Children In China : A Cross-Sectional Examination Of Moderators And Mediators Of The Effects Of Childlessness On The Well-Being Of Elders, Junrong Shi

Legacy Theses & Dissertations (2009 - 2024)

Adult children played a primary role in support and caregiving for the fast-growing older population in China because of the core value of “filial piety” and underdeveloped formal services in the country. However, an increasing amount of Chinese people will end up with having no children in their later years, either nonparental or no children survived. It is important to understand that how the absence of children affects the health and well-being of older adults to better serve this growing vulnerable population. Limited previous studies focused on the childless older people in China, and little is known about the mechanisms …

Livable For All Ages: Evaluating Perceptions Of Community In An Intergenerational Context, David L. Ferrell

Theses and Dissertations--Social Work

Aging-friendliness work uses a model of eight core domains to assess and achieve communities in which people are more equipped to age well, and remain in their community as they age. These domains are broken into the built environment (i.e., Housing, Transportation) and the social environment (i.e., Communication, Social Inclusion, Employment). This dissertation is centered on the efforts to make communities more aging-friendly, and focuses specifically on the Livable Lexington initiative. This dissertation utilized an exploratory study of a pre- and posttest evaluative design to pilot intergenerational discussion groups as a potential intervention. Intergenerational discussion groups were developed with the …

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

Mind, Body, & Spirit : An Ecological Community-Based Approach To Healthy Aging, Emily Widra

Theses, Dissertations, and Projects

Based on the biopsychosocial approach of the ecological theory of aging, the present study examined the health status and social engagement of participants in an osteoporosis-prevention exercise class for adults over the age of 65 in two counties in Western Massachusetts. A self-rated health survey was developed and administered in each of the Healthy Bones & Balance classes with 226 responses in total.

Participants in this study had higher self-rated health scores than have been found in a national epidemiological study. In particular, participants who live alone were engaging in more social activities – at senior centers and places of …

Physical Home Environment, Personal Competencies, And Psychological Well-Being Of Community-Dwelling Older Adults: Development Of A Structural Model, Shannon Marie Trecartin

Doctoral Dissertations

This multi-manuscript dissertation focuses on the relationships between the physical home environment, personal competencies, and psychological well-being among older adults living in community settings. The ecological model of aging serves as the guiding theoretical framework for the exploration and design of the subsequent studies. The first paper is a critical review of the literature. Results suggest that there is little consistency in the measurement of the physical home environment across studies. Also, more research is needed to clarify the relationships between the three major constructs and to expand the area of study to U.S. populations. Finally, some support exists to …

Effects Of Attachment Style, Coping Strategy, Social Support And Spirituality On Parental Grief Among Older Chinese Parents : Structural Equation Modeling., Yongqiang Zheng

Electronic Theses and Dissertations

Most modern grief theories and clinical working models are constructed in the context of Western culture, and the effectiveness or explanatory power of those theories and models have not been fully tested in other cultures, especially through a more complex interactive model. The current study focuses on the role of attachment style, coping strategy, social support and spirituality on older bereaved parents’ grief. It also explores if differences in age, gender, causes of the child’s death, time since the death have a differential effect on parental grief. The purpose of this study was to test the main factors effectively mediating …

"I Own My T!" : The Experience Of Older Transgender People Of Color Regarding Personal Identity, Systems Of Support, And Desires For The Future, Venae N. Rodriguez

Theses, Dissertations, and Projects

While it has been widely reported that transgender individuals experience mistreatment in all aspects of life, transgender people of color, who have rarely been the focus of studies, are faced with even higher incidents of bias (Auldridge, et al., 2012; Dunn & Moodie-Mills, 2012; Grant, et al., 2011). Especially absent is writing on older transgender people of color (Auldridge, et al., 2012; Cook-Daniels, 2015; Fredricksen-Goldsen, et al., 2013; Persson, 2009; Van Wagenen, Driskell & Bradford, 2013). Also missing is literature on the resiliency of transgender people of color and transgender elders. Finally, of the few studies that do exist, most …

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …

Aging And Technology Perspectives Of Web-Based Chronic Disease Self-Management, Jennifer Marie Dickman Portz

Electronic Theses and Dissertations

Many people suffer from chronic disease; however, older adults are at greatest risk of chronic conditions. Although social workers regularly engage with chronically ill older adults, they are not noticeably involved with the research and development of chronic disease management. As such, with recent movements toward health information technology, the efficacy of technology-based chronic disease management is not well established for older adults. Informed by theories of self-management, human development, and technology design, this research investigated lifespan differences of web-based chronic disease self-management. Using a sequential mixed methods design, a secondary data analysis of a diabetes specific web-based self-management intervention …

Gerotranscendence And Successful Aging: The Lived Experience, Allyson R. Rempel

Master of Social Work Clinical Research Papers

With the impending explosion in the number of older adults in this country, new ways of understanding and serving this population are vital to success in clinical social work practice. This study explored the lived aging experience from the perspective of older adults in the context of gerotranscendence and successful aging. Nine older adults over the age of 80 were interviewed by the researcher. The findings of the study indicate the presence of gerotranscendence, and confirmed that it coincided with the concept of successful aging in all nine participants. Implications include the need for a more holistic understanding of older …

Snap Use Among Older Adults, Jennifer R. Geiger

LSU Master's Theses

Older adults participate in the Supplemental Nutrition Assistance Program (SNAP) at much lower rates than the general population. Possible explanations for this disparity include stigma, lack of information, and lack of transportation. However, past research focusing on SNAP use among older adults is limited and utilizes age cohorts in their analyses that may not accurately reflect actual age differences in SNAP participation. This study explored four different models of age categorizations as they relate to SNAP participation rates among older adults over 55. Using a sample of 10,116 from the nationally representative Health and Retirement Study (HRS), the research used …

The Effects Of An Experiential Learning And Mentorship Program Pairing Medical Students And Persons With Cognitive Impairment: A Qualitative Content Analysis, Darby J. Morhardt

Dissertations

The United States population is aging rapidly and with it a tremendous rise in the number of people with dementia. In the future, as now, physicians and other health care professionals will likely provide the majority of health care for older people and those with dementia. The non-geriatric trained workforce must have the attitudes, knowledge and skills needed to provide high quality care for this aging and increasingly cognitively impaired population. There is evidence that prevailing stigma regarding older adults can be modified with experiential opportunities early in students' career. Few of these programs are aimed at persons with dementia. …

Quality, Objectivity, And Tone In Media Portrayals Of Care For Older Adults, Jennifer Van Loan

Legacy Theses & Dissertations (2009 - 2024)

In response to the growing population of older adults who will need assistance to care for themselves, this research evaluates media coverage of care options for older adults presented in local newspapers, an informational resource used by baby boomers and older generations interested in planning for their futures and caring for their loved ones. Computer databases for four newspapers representing the Capital Region of New York State were scanned for keywords to identify articles about older adult care, then articles were reviewed to ensure they were relevant to older adult care. A quantitative content analysis was performed on the articles …

Elder Abuse In The Nursing Home Setting: Social Workers' Perspectives Of Training And Education, Kelli M. Kinney

Master of Social Work Clinical Research Papers

The purpose of this study is to investigate the perspectives that social workers in the nursing home setting have in regard to their training and education on prevalence and prevention of elder abuse. Qualitative interviews were conducted with six nursing home social workers and one aging advocate from the St. Paul area, using convenience and snowball sampling. A demographic survey was also administered to participants. Content analysis was used to analyze the data. Findings from the nursing home social worker interviews suggest themes of: awareness of elder abuse, education on elder abuse (both in nursing homes and education settings) and …

Nursing Home Social Worker Preparedness For Serving Bgl&T Residents, Rachel Bialostosky

Master of Social Work Clinical Research Papers

Current census data indicates that there are over 38 million Americans over the age of 65 at this time. (U.S. Census, 2010). It is estimated that as many as 3.8 million older adults in the United States identify as bisexual, gay, lesbian, or transgender. Though there is a growing body of literature on the needs and concerns of BGL&T older adults with regards to accessing health care services as they age, there is very little literature on how prepared providers feel to provide culturally competent care to BGL&T people. In an attempt to address this gap, this researcher conducted a …

A Perspective Of Aging From The Prose Of Age Specific Birthday Cards, Lori Halbur

Master of Social Work Clinical Research Papers

With a growing number of older people in the United States, it is important for social workers to acknowledge that ageism exists in our society and continue to research, study and understand the influences that contribute to it. Media outlets are one source that has been found to have an influence on people’s perceptions about older adults. A qualitative study was carried out to determine if the messages in age specific greeting cards that are produced specifically for individuals age 60 and older portray more positive or negative perceptions about aging or older individuals. The non-probability, convenience sample for this …

Medical Decision Making Among Mexican-American Elderly Women, Norma Patricia Toro-Hernandez

Theses Digitization Project

Access to medical coverage has been a topic of constant disussion for many years, in particular accessibility for Mexican-American elderly women to have their medical needs met. Consequently, many elderly women use alternative forms of medicine such as 'remedios caseros' (herbal medicine) as a means to get their medical needs met. The purpose of this study was to understand the reasons elderly women continue to use alternative medicine even when they are elgible for health insurance such as Medicare, Medicaid, and private insurances.

It's Not So Simple: Understanding Participant Involvement In The Design, Implementation, And Improvement Of Cash & Counseling Programs, Erin E. Mcgaffigan

Graduate Doctoral Dissertations

For more than three decades, the United States federal government and the states have worked to restructure the long-term care system to be more community based and responsive to personal preferences. Some argue that those who seek such services should be actively engaged in their design (Morris, 2008; Priester, Hewitt, & Kane, 2006). While many who design and implement home and community-based services may believe that participant engagement could be beneficial, most plans move forward with little to no provision for such engagement. The existing literature provides very little insight into the implications of such decisions.

The Cash & Counseling …

An Examination Of Caregiving Dyads: Community Dwelling Chronically Ill Older Adults And Their Caregivers, Jessica E. Haxton

Electronic Theses and Dissertations

Increases in life expectancy among older adults raise important concerns about the availability of resources for an aging population living with chronic and debilitating illnesses. Living longer is complicated by the fact that many elders prefer to reside in their homes until medical or other conditions require an alternative living arrangement. The strong desire to remain at home expressed by older persons in the United States has in turn created an increased demand on informal caregiving. Consequently, adult children often bear the burden of providing care to their aging parents. In view of this demand it is critical that research …

The Lived Experiences Of Older African Americans Residing In Urban Nursing Homes, Marilynn Gail Byrd Knall

Wayne State University Theses

As huge numbers of baby boomers reach old age, an increased need for nursing home care in the future is inevitable. Older people face more complex health issues that often lead to debilitation or disability and thus the need for long-term care. The numbers of consumers needing long-term care services will more than triple during the next 30 years.

African Americans compose less than 10% of nursing home residents and even at age 84 and older, when the likelihood of nursing home placement is higher, proportionately fewer African Americans live in nursing homes. The underrepresentation of ethnic minorities groups in …

A Grounded Theory Study Of Grief In The Lives Of Lesbians Age 60 And Older: Implications For Practice And Societal Change, Ginger Charlyne Meyette

Electronic Theses and Dissertations

The purpose of this study is to understand the lived experiences of self-identified lesbians age 60 and older concerning grief related to various life experiences and to develop a grounded theory related to the findings. The purpose goes beyond describing the phenomenon of grief focusing on grief related exclusively to death loss. The purpose includes eliciting comments about grief related to overt or covert discrimination due to ageism, sexism, and/or homophobia as well as the connection between the personal and the political in terms of what needs to change to bring about social justice.

The issue of grief in the …

Factors Influencing Social Workers Commitment To The Field Of Gerontology, Susan Savella Cole, Teresa Marie Alarcon

Theses Digitization Project

Due to the impending "elder boom" the need for gerontological social workers is increasing. This study examined what attracted workers to enter this field and what motivates them to stay. The research also focused on the relationship between the social worker's commitment and their perceived need for training and education in the field of gerontology.

Aging Of The Population And Its Socioeconomic Implications In Utah, 1900-2000, Vitis Smutrakalin

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The purpose of this thesis is to examine how the age structure of Utah's population has changed since the turn of the century and how it is likely to change during the next quarter of a century. It is also to study selected demographic characteristics and special distribution of the aged population of Utah which are fundamental prerequisites to understanding the problems confronting Utah's aged. This study also analyzes some socioeconomic characteristics of the aged population. Some significant findings are inadequate income, inadequate housing, living arrangement, unemployability, etc.

Future growth of the aged population was derived from the projection of …